Individual
MELISSA SIOUX AMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1401 CENTERVILLE RD STE 100, TALLAHASSEE, FL 32308-4638
(850) 877-5183
(850) 656-1288
Mailing address
1401 CENTERVILLE RD STE 100, TALLAHASSEE, FL 32308-4638
(850) 877-5183
(850) 656-1288
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN20015
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN20015
FL
Other
Enumeration date
09/15/2008
Last updated
05/15/2025
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